2013 / 2014 Medicare Part D Plan Information Click here to jump to the Chart Legend | ||||||||||||
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Plan Name | Monthly Premium |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
$0 Prem. with Full LIS? |
Plan ID |
Cost-Sharing | Total Formulary Drugs | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 EnvisionRxPlus Silver (PDP) | $30.70 | $325 | No additional gap coverage, only the Donut Hole Discount | Yes | S7694 -033 | 25% | 25% | 23% | 28% | 2711 2013 Formulary | ||
2014 EnvisionRxPlus Silver (PDP) | $29.90 | $310 | No additional gap coverage, only the Donut Hole Discount | No | $8.00 | 25% | $45.00 | 45% | 2630 2014 Formulary | |||
2013 EnvisionRxPlus Gold (PDP) | $54.00 | $150 | Some Generics | No | S7694 -103 | $2.00 | $5.00 | $25.00 | 30% | 2747 2013 Formulary | ||
-- This plan not offered in 2014 -- | ||||||||||||
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